HomeMy WebLinkAbout1996-008286 - sewer connect PERMIT
IbITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 SEWER & WATER
Crystal Bay, Minnesota 55323 Permit Number: )08286
(612)473-7357 Date Issued: 08/22/96
SITE ADDRESS:
:330 T{:1Nk:A AVE
LSV
P. I . N. : 05-117-Z-3-14-0040
DESCRIPTION:
SEWER CONNECT
Sewer & Water Permit Type SEWER CONNECTION
Sewer & Water Work Type RESIDENCE
REMARKS:
FEE SUMMARY:
Base Fee $ t�0
Surcharge 1-EQ
Total Fee --------i�,5. so
CONTRACTOR: - Applicant - OWNER:
W I DIMER INC 24461495 CHR I=.'TENSEN DAVID
Pit BOX 219 330 TONKA AVE
:T BON I FAC I t JS NN S x,75 ORONO MN SS 3S6
(612) 446-149S (612)941-4862
7.
THE VVI)RSI C IEI EIV"HERESY REQUESTS '"PERM I SS I M T � "I AIDE .TSE "REAL i i�+ll"�f i�MEN1 S s
SPECIFIED AND AGREES ," .L IQ I N STR T C" #�I AIS I T)4" At
L_ 0Rn-NO GRD I NANC:ES' ANS} "ST/�TE° DE MINNESOTA"�`I L:D I NCS '� REQU I�MENTS,
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APPLICANT/PERMITEE SIGNATURE 417 ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR UTILITY PERMITS
Box 66 (2750 Kelley Parkway) SEWER/WATER ^, _
Crystal Bay, MN 55323 Z �J
GENERAL INFORMATION
1. You may apply for utility permits by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below. Permit cards will be sent by
return mail the same day the application is received.
3. Permits are not valid until you receive a permit card.
4. Work must not begin unless the permit card is available on the job site.
5. Utility connection permits may be issued to licensed contractors only.
6. Contact the Public Works Department(473-7357)for utility stub as-built locations. DO NOT EXCAVATE
IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works
Department. Issuance of a permit does not grant this approval.
7. All work must be done in accordance with State Code requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 hour notice required.
JOBSITEADDRESS:
Occupancy Type: R ideniWCommercial
Owner's Name: Phone Number:
Mailing Address: City:
Contractor's Name: Phone Numb . lr �h_iy�s —
Mailing Address: City: zip: ::;; .5 --
PERMIT TYPE
Municipal Sewer Connection ($35.00 per stub) $
pipe size 1./ inches; material PVC (on sand fill); cast iron
SAC Charge($850.00)must accompany all sewer permit applications unless prepaid. If not prepaid,
a sewer connection permit will not be issued.
Municipal Water Connection ($35.00 per stub) $
pipe size inches; material copper; other
WATER METERS must be picked up and paid for at City Hall.
(5/8" meters=$139.00; 3/4" meters = $191.00; 1" meters= $247.00)
Separate Plumbing Permit issued for water meter.
Water meters must be set and sealed by Orono Water Department(473-7357)upon completion
of meter installation.
REQUIRED minimum setbacks from drainfield and septic tanks= 75'
REQUIRED setback from sewer line=20'
PERMIT FEE CALCULATION
1. Subtotal of above permit requested $
2. State Surcharae $ .50
The State Building Code Division Surcharge of$.50 per permit must be
included for each well,sewer and water connection permit requested.
3. Postage & Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete,true and correct.
Signature of Applicant:�_1'r r/� Date: fid' :--� `d'�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. � � COMPLETED
ADDRESS 330 D%' Cis
OWNER CONTR. 4VI;���
TELEPHONE NO. � — Z
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
H 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL SEWER HOOD 06 PROGRESS
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07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER CTOR TO MEET YOU:_YES_NO
COM E S:
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Wd WORK SATISFACTORY:PROCEED
PROJECT COMPLETE
cc W L CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forth ext in ction 24 hours in advance.473-7357
Owner/Contra o site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice